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• Reviews provider documentation and revises and/or assigns ICD-10-CM codes
and CPT/HCPCS codes as appropriate, based on official coding guidelines.
Researches and takes appropriate action on any coding/claim edits.
• Coding focus is complex outpatient hospital based (Observation, Emergency
Department, Wound, Ambulatory Surgery) or provider based complex procedural
services (surgery, procedures, wound).
Principal Accountabilities
• Standards of Performance: Respect, Integrity, Compassion, Collaboration,
Stewardship, Accountability, Quality
Education
• High School Diploma required. Preferred Associate or Bachelor Degree in
Health Information or a healthcare related discipline.
Licenses and Certification
• Required:
o RHIA, RHIT, or CCS (hospital)
o RHIA, RHIT, CCS, CCS-P, CCA, or CPC (provider based)
Experience and Skills
• Hospital & Provider Based:
o RHIA, RHIT, CCS – None.
• Provider Based:
o CCS-P, CCA, or CPC – 3 years procedural coding required.
Physical Activities
• Intermittent hand manipulation required
• Intermittent lifting and carrying of 20 pounds
Role Specific Responsibilities
o Follows all coding policies, procedures, standard operating procedures
o Effectively uses encoding software and reference materials to assign
appropriate codes.
o Provider driven coding: Reviews and accepts or revises code selection
based upon documentation and coding guidelines.
o Non – provider driven coding: Reviews provider documentation and
assigns appropriate codes based upon coding guidelines
o Reviews coding edits and accurately resolves so encounter can be sent to
claims.
o Sends clear, respectful communications to provider inbasket or queries
when additional information is needed before finalizing coding.
o Identifies and communicates to Coding Lead/Supervisor/Manager any
issues related to documentation, coding or systems that may impact
quality, compliance, or productivity
o Performs work que duties as assigned by Coding
Lead/Supervisor/Manager.
o Maintains coding quality and productivity standards
o Actively engages and makes meaningful contribution when participating
in performance improvement initiatives, department meetings and other
meetings as required.
o Maintains required CEU’s
Compensation (Commensurate with experience):
$24.12 - $37.39
To access our Benefits Guide/Plan Information, please click the link below:
Southern Illinois Healthcare (SIH) is a not-for-profit health system serving the southernmost counties of Illinois with four hospitals, a comprehensive cancer center, Level II Trauma Center and more than 30 outpatient and specialty practices. Based in Carbondale, Ill., SIH is the region’s largest private employer with 4,000 employees and the largest provider of charity care, unreimbursed care and community benefits.
Recognized for quality outcomes in cardiac, stroke, bariatric and cancer care, SIH holds affiliations with renowned peers such as Prairie Heart Institute, SIU School of Medicine Family Practice Residency Program, Siteman Cancer Network and the BJC Collaborative.
We are dedicated to improving the health and well-being of all of the people in the communities we serve.
